| NPI | 1700229127 |
|---|---|
| Doing Business As | ASSURED PHARMACY #10 |
| Entity Type | Organization |
| Authorized Contact | BRADLEY ECKMANN Chief Of Staff 502-314-0146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO PDO1680000027) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WY NR-50820) |
| 333600000X Pharmacy (Licence: KS 2244862) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2020-12-21 |